FORM 1023-EZ for CEM MUSIC INSTITUTE INC

Field Data
EIN 83-4312697
Case Number EO-2019319-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CEM MUSIC INSTITUTE INC
Organization’s Mailing Address 7222 N BRAY ROAD
City MOUNT MORRIS
State MI
ZIP 48458
Accounting period End 12
Primary contact name DENISE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH MILLER SR
PRESIDENT
3722 W 81ST PLACE
CHICAGO IL 60652

Officer/Director/Trustee Two

YOLUNDA CALICUTT
TREASURER
1514 LAUREL BLUFFS DRIVE
HAZELWOOD MO 63042

Officer/Director/Trustee Three

FLORETTA LONG
SECRETARY
1540 EASTMONT PL
SAINT LOUIS MO 63130

Officer/Director/Trustee Four

LATRICIA WILLIAMS
VICE PRESIDENT
11654 PETITE CHALET DRIVE
ST LOUIS MO 63138

Officer/Director/Trustee Five

DENISE MILLER
CEO/DIRECTOR
7222 N BRAY ROAD
MOUNT MORRIS MI 48458

Organization’s website
Organization’s email DMILLER_CEMMUSIC@INSTITUTE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEITH MILLER SR
Signature Title PRESIDENT
Signature Date 11/13/19

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